| NPI | 1477099307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 181428) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-02-25 |